| NPI | 1649353814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY P. MOON Administrator 903-984-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 116795) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |